MEDICARE: EVGENIY MOSHKOVICH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	240208	NY

General Provider Information

NPI Number	:	1295757300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVGENIY MOSHKOVICH MD

Provider Business Mailing Address
First Line	:	2175 86TH ST
Second Line	:	DBAL CITYMD URGENT CARE
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3205
Country	:	US
Telephone Number	:	646-828-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	2175 86TH ST
Second Line	:	DBA: CITY MD
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3205
Country	:	US
Telephone Number	:	646-828-6401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	11/18/2025

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